Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,243.16 / $5,549.00	Facility		$1,159.00	$2,243.16	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.38 / $1,215.55 / $2,243.16	Professional		$1,192.38	$1,215.55	$2,243.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,720.89 / $18,654.32 / $37,355.26	Facility		$8,720.89	$18,654.32	$37,355.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.56 / $1,693.29 / $2,445.25	Professional		$1,230.56	$1,693.29	$2,445.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.67 / $1,979.13 / $4,867.93	Professional		$1,262.67	$1,979.13	$4,867.93
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.94 / $1,492.24 / $1,620.72	Professional		$1,395.94	$1,492.24	$1,620.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,870.07	Professional		$32.34	$32.34	$1,870.07
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.65 / $1,759.68 / $2,665.71	Professional		$1,267.65	$1,759.68	$2,665.71